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      Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia - 2019

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      Arquivos Brasileiros de Cardiologia

      Sociedade Brasileira de Cardiologia - SBC

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          ESC Guidelines for the management of grown-up congenital heart disease (new version 2010).

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            Predictors of hospital mortality in the global registry of acute coronary events.

            Management of acute coronary syndromes (ACS) should be guided by an estimate of patient risk. To develop a simple model to assess the risk for in-hospital mortality for the entire spectrum of ACS treated in general clinical practice. A multivariable logistic regression model was developed using 11 389 patients (including 509 in-hospital deaths) with ACS with and without ST-segment elevation enrolled in the Global Registry of Acute Coronary Events (GRACE) from April 1, 1999, through March 31, 2001. Validation data sets included a subsequent cohort of 3972 patients enrolled in GRACE and 12 142 in the Global Use of Strategies to Open Occluded Coronary Arteries IIb (GUSTO-IIb) trial. The following 8 independent risk factors accounted for 89.9% of the prognostic information: age (odds ratio [OR], 1.7 per 10 years), Killip class (OR, 2.0 per class), systolic blood pressure (OR, 1.4 per 20-mm Hg decrease), ST-segment deviation (OR, 2.4), cardiac arrest during presentation (OR, 4.3), serum creatinine level (OR, 1.2 per 1-mg/dL [88.4- micro mol/L] increase), positive initial cardiac enzyme findings (OR, 1.6), and heart rate (OR, 1.3 per 30-beat/min increase). The discrimination ability of the simplified model was excellent with c statistics of 0.83 in the derived database, 0.84 in the confirmation GRACE data set, and 0.79 in the GUSTO-IIb database. Across the entire spectrum of ACS and in general clinical practice, this model provides excellent ability to assess the risk for death and can be used as a simple nomogram to estimate risk in individual patients.
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              An expanded definition of the adult respiratory distress syndrome.

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                Author and article information

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                Journal
                abc
                Arquivos Brasileiros de Cardiologia
                Arq. Bras. Cardiol.
                Sociedade Brasileira de Cardiologia - SBC (São Paulo, SP, Brazil )
                0066-782X
                1678-4170
                September 2019
                : 113
                : 3
                : 449-663
                Affiliations
                São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina orgdiv2Hospital das Clínicas Brazil
                São Paulo São Paulo orgnameInstituto Dante Pazzanese de Cardiologia Brazil
                São Paulo SP orgnameClínica Cardiológica e Medicina Preventiva Brasil
                São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina orgdiv2Hospital das Clínicas Brazil
                São Paulo SP orgnameConselho Regional de Medicina de São Paulo (CREMESP) Brasil
                São Paulo São Paulo orgnameUniversidade Federal de São Paulo Brazil
                São Paulo SP orgnameHospital São Camilo Brasil
                Rio de Janeiro RJ orgnameSociedade Brasileira de Cardiologia (SBC) Brasil
                São Paulo São Paulo orgnameHospital Israelita Albert Einstein Brazil
                São Paulo SP orgnameHospital Sepaco Brasil
                Londrina Paraná orgnameUniversidade Estadual de Londrina Brazil
                São Paulo SP orgnameSecretaria Municipal da Saúde da Prefeitura Municipal de São Paulo Brasil
                São Paulo São Paulo orgnameInstituto Butantan orgdiv1Secretaria de Estado da Saúde de São Paulo e do Ministério da Saúde Brazil
                Belo Horizonte MG orgnameFaculdade Ciências Médicas de Minas Gerais (FCM-MG) Brasil
                Recife PE orgnameHospital Agamenon Magalhães Brasil
                Rio de Janeiro RJ orgnameHospital Municipal Miguel Couto orgdiv1Secretaria Municipal de Saúde Brasil
                São Paulo SP orgnameHospital do Coração (HCor) Brasil
                Salvador BA orgnameEscola Bahiana de Medicina Brasil
                Salvador BA orgnameRede FTC Brasil
                São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina orgdiv2Hospital das Clínicas Brazil
                Fortaleza CE orgnameUniversidade de Fortaleza (UNIFOR) Brasil
                São Paulo SP orgnameHospital BP Mirante Brasil
                São Paulo SP orgnameSaraiva & Berlinger LTDA. Brasil
                São Paulo SP orgnameBeneficência Portuguesa de São Paulo Brasil
                São Paulo São Paulo orgnameUniversidade Anhembi Morumbi Brazil
                São Paulo São Paulo orgnameUniversidade de São Paulo orgdiv1Faculdade de Medicina de Ribeirão Preto Brazil
                Salvador BA orgnameHospital São Rafael Brasil
                Campinas São Paulo orgnameUniversidade Estadual de Campinas Brazil
                São Paulo SP orgnameHospital Sírio Libanês Brasil
                Porto Alegre RS orgnameInstituto de Cardiologia do Rio Grande do Sul Brasil
                São Paulo SP orgnameFundação Zerbini Brasil
                São Paulo SP orgnameHospital Nove de Julho Brasil
                Article
                S0066-782X2019000900449
                10.5935/abc.20190203

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 1344, Pages: 215
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                Categories
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